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NPI Code Detail

MEDICARE: HAWKINS HEALTH CARE

MEDICARE: HAWKINS HEALTH CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityLPN 145014 M-IVOH

General Provider Information

NPI Number : 1659825495
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAWKINS HEALTH CARE
Provider Business Mailing Address
First Line : 1403 ADAMS ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1907
Country : US
Telephone Number : 513-835-9333
Fax Number :
Provider Business Practice Location Address
First Line : 1403 ADAMS ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1907
Country : US
Telephone Number : 513-835-9333
Fax Number :
Authorized Official
Title or Position : LPN
Name : MS. AMBER CAREL HAWKINS
Credential : LPN
Telephone Number : 513-835-9333
Provider Enumeration Date : 08/10/2016
Last Update Date : 08/10/2016

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Directions to “HAWKINS HEALTH CARE ” Practice Location

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